scholarly journals Neighborhood Evictions, Marital/Cohabiting Status, and Preterm Birth among African American Women

2021 ◽  
Vol 31 (2) ◽  
pp. 197-204
Author(s):  
Shawnita Sealy-Jefferson ◽  
Brittney Butler ◽  
Shibani Chettri ◽  
Hikma Elmi ◽  
Allison Stevens ◽  
...  
Keyword(s):  
African American ◽  
Preterm Birth ◽  
Relative Risk ◽  
African American Women ◽  
Individual Risk ◽  
Adjusted Relative Risk ◽  
American Women ◽  
Relative Risks ◽  
Address Data ◽  
Current Address

Introduction: Housing stability is an impor­tant determinant of health, but no studies to our knowledge have examined the spill-over effects of neighborhood eviction rates on individual risk of preterm birth (PTB) among African American women.Objective: We assessed whether living in a neighborhood with high eviction rates was associated with risk of PTB among African American women, and whether marital/co­habiting status modified the association.Methods: We spatially linked interview, medical record, and current address data from the Life-course Influences on Fetal Environments Study (2009-2011, N=1386) of postpartum African American women from Metropolitan Detroit, Michigan, to publicly available data on block-group level rates of eviction filings and judgements. PTB was defined as birth before 37 completed weeks of gestation and occurred in 16.3% of the sample (n=226). Eviction rate vari­ables were rescaled by their interquartile ranges (75th vs 25th percentiles). Women self-reported whether they were married to, or cohabiting with, the father of their baby during the in-person interview. We used Modified Poisson regression with robust er­ror variance to estimate relative risks of PTB associated with each eviction variable sepa­rately and included an interaction term with marital/cohabiting status (P<.10 considered significant) in adjusted models.Results: In the overall sample, neighbor­hood eviction filings and judgements did not predict PTB, but the associations were modified by marital/cohabiting status (P for interaction = .02, and .06, respectively). Among women who were married/cohabit­ing, those who lived in neighborhoods with high eviction filings (adjusted relative risk: 1.25, 95% CI: 1.06, 1.47) and eviction judgements (adjusted relative risk: 1.18, 95% CI: 1.05, 1.33) had higher risk of PTB than women who did not. Little evidence of an association was observed for women who were not married/cohabiting.Conclusions: Future studies should examine the mechanisms of the reported associations to identify novel intervention targets (eg, addressing landlord discrimina­tion) and policy solutions (eg, ensuring a living wage and providing affordable hous­ing assistance to everyone who qualifies) to reduce the burden of PTB among African Americans. Ethn Dis. 2021;31(2):197-204; doi:10.18865/ed.31.2.197

scholarly journals Neighborhood Tax Foreclosures, Educational Attainment, and Preterm Birth among Urban African American Women

2019 ◽  
Vol 16 (6) ◽  
pp. 904 ◽  
Author(s):  
Shawnita Sealy-Jefferson ◽  
Dawn Misra
Keyword(s):  
African American ◽  
Preterm Birth ◽  
Relative Risk ◽  
Educational Attainment ◽  
African American Women ◽  
Birth Outcomes ◽  
Error Variance ◽  
Adverse Birth Outcomes ◽  
Adjusted Relative Risk ◽  
American Women

Ecological evidence suggests that neighborhoods with more tax foreclosures also have more adverse birth outcomes. However, whether neighborhood-level tax foreclosures impact individual-level risk for adverse birth outcomes is unknown. We assessed whether living in a neighborhood with high tax foreclosures is associated with a woman’s preterm birth (PTB) risk and tested for effect modification by educational attainment, among urban African American women from the Life Influence on Fetal Environments Study (2009–2011; n = 686). We linked survey and medical record data to archival, block-group level tax foreclosure data from the county treasurer. We used Modified Poisson regression with robust error variance and included a foreclosure X education interaction in adjusted models. In the overall sample, neighborhood tax foreclosures did not predict PTB (adjusted relative risk: 0.93, CI: 0.74, 1.16), but the association was modified by educational attainment (interaction p = 0.01). Among women with lower education (n = 227), neighborhood tax foreclosures did not predict PTB risk. The association for women with higher education (n = 401) was statistically significant for a reduction in risk for PTB (adjusted relative risk: 0.74, CI: 0.55, 0.98) among those who lived in neighborhoods with high versus low tax foreclosures. Future studies should seek to identify the mechanisms of this association.

Preterm Birth among African American Women in a Federal Healthy Start Program

2018 ◽  
Vol 131 ◽  
pp. 111S
Author(s):  
Lee Anne Roman ◽  
Zhehui Luo ◽  
Cristian Meghea ◽  
Peggy VanderMeulen ◽  
Ken Fawcett ◽  
...  
Keyword(s):  
African American ◽  
Preterm Birth ◽  
African American Women ◽  
Healthy Start ◽  
American Women ◽  
Healthy Start Program ◽  
Start Program

scholarly journals Complement Activation During Early Pregnancy and Clinical Predictors of Preterm Birth in African American Women

2019 ◽  
Vol 33 (4) ◽  
pp. E15-E26
Author(s):  
Alexis B. Dunn ◽  
Anne L. Dunlop ◽  
Andrew H. Miller ◽  
Carol J. Hogue ◽  
Jordan M. Crofton ◽  
...  
Keyword(s):  
African American ◽  
Preterm Birth ◽  
African American Women ◽  
Early Pregnancy ◽  
Complement Activation ◽  
Clinical Predictors ◽  
American Women

Mortgage discrimination and preterm birth among African American women: An exploratory study

2019 ◽  
Vol 59 ◽  
pp. 102193 ◽  
Author(s):  
Nana Matoba ◽  
Suzanne Suprenant ◽  
Kristin Rankin ◽  
Hailin Yu ◽  
James W. Collins
Keyword(s):  
African American ◽  
Preterm Birth ◽  
African American Women ◽  
Exploratory Study ◽  
American Women ◽  
Mortgage Discrimination

scholarly journals A Systematic Review of DNA Methylation and Preterm Birth in African American Women

2016 ◽  
Vol 19 (3) ◽  
pp. 308-317 ◽  
Author(s):  
Veronica Barcelona de Mendoza ◽  
Michelle L. Wright ◽  
Comfort Agaba ◽  
Laura Prescott ◽  
Alexandra Desir ◽  
...  
Keyword(s):  
Dna Methylation ◽  
African American ◽  
Preterm Birth ◽  
African American Women ◽  
Small Sample Size ◽  
Small Sample ◽  
Future Research ◽  
Cross Sectional ◽  
American Women ◽  
Study Designs

Background: The causes of many cases of preterm birth (PTB) remain enigmatic. Increased understanding of how epigenetic factors are associated with health outcomes has resulted in studies examining DNA methylation (DNAm) as a contributing factor to PTB. However, few studies on PTB and DNAm have included African American women, the group with the highest rate of PTB. Methods: The objective of this review was to systematically analyze the existing studies on DNAm and PTB among African American women. Results: Studies ( N = 10) were limited by small sample size, cross-sectional study designs, inconsistent methodologies for epigenomic analysis, and evaluation of different tissue types across studies. African Americans comprised less than half of the sample in 50% of the studies reviewed. Despite these limitations, there is evidence for an association between DNAm patterns and PTB. Conclusions: Future research on DNAm patterns and PTB should use longitudinal study designs, repeated DNAm testing, and a clinically relevant definition of PTB and should include large samples of high-risk African American women to better understand the mechanisms for PTB in this population.

scholarly journals Lipidome Profiles Are Related to Depressive Symptoms and Preterm Birth Among African American Women

2020 ◽  
Vol 22 (3) ◽  
pp. 354-361 ◽  
Author(s):  
Nadia Saadat ◽  
Todd A. Lydic ◽  
Dawn P. Misra ◽  
Rhonda Dailey ◽  
Deborah S. Walker ◽  
...  
Keyword(s):  
African American ◽  
Depressive Symptoms ◽  
Preterm Birth ◽  
African American Women ◽  
Depression Scale ◽  
The United States ◽  
Mass Spectrometry Data ◽  
Orthogonal Projections ◽  
Clear Separation ◽  
American Women

African American women have the highest rate of preterm birth (PTB; <37 completed weeks’ gestation) of any racial and ethnic group in the United States (14.1%). Depressive symptoms (DS) have been linked to PTB risk of African American women. We hypothesized that maternal lipidomic profiles are related to prenatal DS and gestational age at birth among African American women. Women were enrolled at 9–25 weeks’ gestation, completed questionnaires, and provided plasma samples. Lipidomic profiles were determined by “shotgun” Orbitrap high-resolution/accurate mass spectrometry. Data were analyzed using SIMCA P+ software. There was a clear separation in the orthogonal projections to latent structures discriminant analysis score plot between women with Center for Epidemiologic Studies Depression Scale (CES-D) scores ≥23 and women with CES-D scores ≤22. Similarly, a clear separation was observed in the model between PTB and full-term birth. Corresponding S-plot, loading plot, and variable importance in projection plot/list were used to identify the lipids responsible for the groupings. Higher levels of specific triglyceride (TG) species and lower levels of specific phosphatidylcholines (PCs) PC(37:1), PC(41:6), and PC(39:3) were associated with PTB. PC PC(37:1) levels were also lower among women with CES-D scores ≥23, pointing toward a possible connection between DS and PTB. Although overweight pregnant women showed higher levels of TGs, the PTB model showed specific TGs unique to PTB. Lipidomic profiles in pregnant African American women are related to DS, and our data suggest a role for specific TGs and PCs in PTB.

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